| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.16 | $93.16 | $131.12 | |
CareFirst
| Professional | $17.22 | $19.13 | $26.02 | |
Cigna
| Professional | $16.93 | $16.93 | $21.17 | |
Kaiser Permanente
| Professional | $72.00 | $92.00 | $92.00 | |
Wellpoint
| Professional | $6.38 | $6.48 | $8.18 |